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Meralgia Parasthetica

What is Meralgia Paresthetica?

Meralgia paresthetica is a sensations of numbness and tingling after pressure from either a belt around the waist or long periods of sitting. At times this can cause nerve irritation and in turn cause these sensations to be long lasting needing treatment to help alleviate the symptoms. Meralgia paresthetica can also be easily misdiagnosed as it is something that can be closely related to more severe cases of sciatic nerve pain / disc bulges.

Reasons for diagnosis:

Complaint of numbness and tingling in the lateral thigh

Restricted hip and thigh range of motion after wearing a tight belt / trousers or having heavy pockets

Aggravated “like” pain when lateral thigh is compressed

Affected ADL’s and/or decrease concentration due to pain

Factors that could be contributing to the problem:

  • Trauma
  • Overuse of gluteal muscles or erector spinae
  • Obesity
  • Tight or heavy belt pockets
  • Long periods of sitting

Therapies For Meralgia Parasthetica

  • Advice on daily living activities/diet – This enables advice on how to change to make healthy actions into habits and may offer a valuable alternative with potential for long-term impact.
  • Spinal manipulation/activator/drop piece techniques – adjustive techniques have been shown to decrease pain and increase range of motion.
  • Trigger point therapy/handheld massager – have shown to decrease pain/tenderness, enhance both range of motion and quality of life and influence flexibility.
  • Prescribed stretching – Stretching has shown to reduce pain, improve functionality and   overall wellbeing in patients in both long- and short-term outcomes.
  • Prescribed exercises – produce more beneficial outcomes in terms of increased strength, improved function and reduced pain scores.

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